Individual
GERALD OLIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
3215 ALLEN LN, PESHASTIN, WA 98847-9426
(509) 668-0211
Mailing address
PO BOX 752, CASHMERE, WA 98815-0752
(509) 668-0211
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT00001869
WA
Other
Enumeration date
01/28/2008
Last updated
01/13/2011
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